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473287 SHORT-ELLIOTT-HENDRICKSON INC - INSURANCE CERTIFICATE (6)
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/29/2011 PRODUCER 952.893. 1933 FAX 952.893. 1819 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION H. Robert Anderson & Assoc., Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4600 West 77th Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 10S Edina, MN 55435 INSURERS AFFORDING COVERAGE NAIC # INsuRED Short -Elliott -Hendrickson, Inc. INSURERA XL Specialty Insurance Co. SEH, Inc. INSURER B: 3535 Vadnais Center Drive INSURER C: St. Paul, MN 55110 INSURER I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DO NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDO/YVVV POLICY EXPIRATION DATE MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR DAMAGE TO RENTEU-- PREMISES Ea pccufence) $ MED EXP (Any one Person) $ PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY r7 PRO- JECT 7 LOG AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea amdfrnt) $ BODILY INJURY (Perrperson) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY$ (Perraxed eccitlennt) U HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE� OFFICER/MEMBER EXCLUDED? TORY LIMITB ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ A DTHF�t PrOtessional Liability DPR9695159 10/01/2011 10/01/2012 Each Claim/ $5,000,000 Annual Aggregate $10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS This certificate or memorandum of insurance does not affirmatively or negatively amend, extend, or alter the coverage afforded by the insurance policy. *10 days notice for cancellation if reason is for non-payment of premium. City of Fort Collins 300 LaPorte Ave Fort Collins, MN 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30" DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR © 1988-2009 reserved. The ACORD name and logo are registered marks of ACORD